Evidence map›Paper›PMID 36932332›Full record

ArticleBMC public health2023

Race/ethnicity-specific associations between breastfeeding information source and breastfeeding rates among U.S. women.

Stephanie M Quintero, Paula D Strassle, Amalia Londoño Tobón, Stephanie Ponce, Alia Alhomsi, Ana I Maldonado, Jamie S Ko, Miciah J Wilkerson, Anna María Nápoles

Registry-linked trialOpen access · goldFull text read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06673160 (Pumping to Up Maternal Milk Production for Preterms), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06673160 narecruitingnot on this mapstarted 2025, after this paper: background citation

Pumping to Up Maternal Milk Production for Preterms (PUMMPP)

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2025 to 2027Enrolled70ConditionsBreastfeeding, Breastmilk ExpressionArmsPumping every 2 hours, breast pumping every 3 hours
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  8. Nutrients · 2025
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  18. Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes.The Yale journal of biology and medicine · 2024
    Review
  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Stephanie M QuinteroDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
Paula D StrassleDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA. paula.strassle@nih.gov.
Amalia Londoño TobónDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
Stephanie PonceDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
Alia AlhomsiDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
Ana I MaldonadoDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
Jamie S KoDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
Miciah J WilkersonDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
Anna María NápolesDivision of Intramural Research, National Institute On Minority Health and Health Disparities, National Institute of Health, Bethesda, 11545 Rockville Pike 2WF RM C13, Rockville, MD, 20818, USA.
National Institute on Minority Health and Health Disparities · US

Funding

Translating Behavioral Interventions for Health Disparity PopulationsZIAMD000014 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI CHOI, KELVIN · 2018 to 2023
$4.8M
6 · The paper itself

Abstract

backgroundDespite evidence of the impact of breastfeeding information on breastfeeding rates, it is unknown if information sources and impact vary by race/ethnicity, thus this study assessed race/ethnicity-specific associations between breastfeeding information sources and breastfeeding.

methodsWe used data from the 2016-2019 Pregnancy Risk Assessment Monitoring System. Race/ethnicity-stratified multinomial logistic regression was used to estimate associations between information source (e.g., family/friends) and breastfeeding rates (0 weeks/none, < 10 weeks, or ≥ 10 weeks; < 10 weeks and ≥ 10 weeks = any breastfeeding). All analyses were weighted to be nationally representative.

resultsAmong 5,945,018 women (weighted), 88% reported initiating breastfeeding (≥ 10 weeks = 70%). Information from family/friends (< 10 weeks: aORs = 1.58-2.14; ≥ 10 weeks: aORs = 1.63-2.64) and breastfeeding support groups (< 10 weeks: aORs = 1.31-1.76; ≥ 10 weeks: aORs = 1.42-2.77) were consistently associated with breastfeeding and duration across most racial/ethnic groups; effects were consistently smaller among Alaska Native, Black, and Hispanic women (vs White women). Over half of American Indian and one-quarter of Black women reported not breastfeeding/stopping breastfeeding due to return to school/work concerns.

conclusionsAssociations between breastfeeding information source and breastfeeding rates vary across race/ethnicity. Culturally tailored breastfeeding information and support from family/friends and support groups could help reduce breastfeeding disparities. Additional measures are needed to address disparities related to concerns about return to work/school.

Indexed as

Breast FeedingEthnicityInformation SourcesFemaleHumansPostnatal CarePregnancyUnited StatesBreastfeedingHealth disparitiesMaternal and Infant HealthPRAMSRace/Ethnicity

Identifiers

PMID36932332
PMCPMC10024358
OpenAlexW4327710248

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read105
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.